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1417548744
BREANNA RENEE BACON
SPOKANE, WA
NPI
1417548744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
Mrs. BREANNA RENEE BACON
200 N BERNARD ST
SPOKANE, WA 99201-0206
Phone number: 509-354-7946
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Mailing Address
Mrs. BREANNA RENEE BACON
200 N BERNARD ST
SPOKANE, WA 99201-0206
Phone number: 509-354-7946
Copy
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